SHAUNA KATHLEEN CZAKOWSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

NOT RENEWED

Business

First Name

SHAUNA

Middle

KATHLEEN

Last Name

CZAKOWSKI

Business Name

SHAUNA KATHLEEN CZAKOWSKI

Original Issue Date

07/10/2001

Effective Date

07/10/2001

Expiration Date

05/31/2004

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006